
Contents
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Centrality of Growth to Health Outcomes Centrality of Growth to Health Outcomes
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A Critical Examination of the Current Delivery System A Critical Examination of the Current Delivery System
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Reforming the Health Care System Reforming the Health Care System
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Public Health Services Public Health Services
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Routine Healthcare Routine Healthcare
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Major Illnesses Major Illnesses
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Human Resources Human Resources
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Oversight of the Health System Oversight of the Health System
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Concluding Remarks Concluding Remarks
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Cite
Abstract
This chapter critically examines the existing health policy and its future course. It argues that the government must spend more resources and improve efficiency in the provision of public health services. It suggests several reforms in the provision of these services. On routine health care, it suggests that choice of health services must be left to individuals, with the bottom half or so of the population provided cash subsidy to cover the expenses. In the case of major illnesses, it recommends insurance with patients allowed to choose between private and public providers. For the poor, it recommends coverage using public funds. We argue that India needs to massively build up its medical and health personnel. Finally, it argues that it is premature to introduce regulation of medical practice at the current stage of development. For now, it will be best to control egregious practices through reporting by private citizens, media, and NGOs, and judicial actions based on those reports. The introduction of Western style regulation will make sense after the formal health care industry is significantly larger than it is today.
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